At long last got my thyroid and B12 blood results for the forum to look at for me please... as my previous post of Wednesday this week and my awful wobbly feeling and dizziness, nausea that has stopped me from doing anything really for THE PAST 6 months plus ... here we go.. the GP is saying everything is OK ... my specialist is also saying that I should be OK....

As you're on some form of hormone replacement (if I understood your situation correctly) that TSH reads rather higher than suits most people. Are these NHS tests which is why there's no FT3 or FT4?

Your B12 level and folate could both use being higher in range but, as you know, for that and other matters vitamin and mineral, SeasideSusie or similar is an outstanding source of information.

If it's not a recurrence of the labyrinthitis, has anyone suggested that you might have crystals in your ear/s? Something like BPPV (benign paroxysmal positional vertigo) that might benefit from the Epley Manoeuvre?

That sounds like a very good idea and would help people to give you some advice based on your various levels - you'd benefit from knowing more about your vitamin and mineral levels (I didn't see a vitamin D test in your results?).

christina61 As you've previously had labrynthitis, have you had your ears checked again to see if this is a problem.

Also, as ITYFIALMCTT has mentioned, BPPV can cause dizziness and nausea. I recently had this. Went to the GP with these symptoms, ears checked and no infection, came to the conclusion that it was BPPV (it can be quite common as we get older). Mentioned the Epley Manoeuvre but didn't do it (takes about 5 minutes and I was obviously too close to the end of my 10 minute slot!). Youtube videos available, easy enough to do yourself. I did it three days running, the third day I had the worst spinning sensation at the end of the manoeuvre but haven't been troubled with it since. Definitely worth looking into.

I have read (but not researched so don't have links) that BCSH, UKNEQAS and NICE guidelines recommend:

"In the presence of discordance between test results and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment."

And an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

If no signs of B12 deficiency then sublingual methylcobalamin lozenges are what's needed if you wish to self supplement, along with a good quality B Complex to balance all the B vitamins. I'd start with one bottle of 5000mcg sublingual methylcobalamin then when that's finished change to the 1000mcg strength.

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serum TSH levels 2.62 mu/L (0.27-4.20)

Far too high for someone on thyroid meds. It should be around 1 or below. What about FT4 and FT3 - FT3 is especially important when on NDT.

No nothing ...just 2 grains of NT since talking to the forum I started taking a b12 supplement yesterday and I have taken one this morning and 1 this afternoon .......and I must admit I don't know whether its mind over matter but don't feel so off balance today !!! vitamin B12, 500pg